Although R0 is a helpful tool, it’s not an exact measurement. “In reality, there are many situations that can affect the spread of an illness,” says El-Sayed. For example, vaccination programs in the U.S. have greatly reduced cases of measles and mumps, despite high R0 values. Limiting patients’ direct contact with others can also curb a contagion. That’s why medical workers wear protective suits when treating patients with Ebola.
The last major Ebola outbreak spread across West Africa from 2014 to 2016. More than 17,000 cases and 11,000 deaths were reported. It even spread farther: 36 people were treated for Ebola in countries outside West Africa. That included cases in the U.S., Germany, Spain, and the United Kingdom.
Doctors are now working to contain the current outbreak to prevent a repeat of the last one—and save lives. “It is time for the world to take notice,” Tedros Adhanom Ghebreyesus, the chief of the World Health Organization, said at a news conference when declaring the current emergency.